Active NPI
Alia Meagan Kabbara, DMD
- Dentist
- Corona, CA
National Provider Identifier
1003504598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108978
- Practice address
- 3848 N McKinley St
Corona, CA 92879-6569 - Phone
- (951) 371-2424
- NPI assigned
- Apr 24, 2023
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108978 | CA | Primary |
Addresses
Primary practice location
3848 N McKinley St
Corona, CA 92879-6569
Mailing address
18392 Old Lamplighter Cir
Villa Park, CA 92861-4528
Phone (714) 944-3983
Other practice location 1
18392 Old Lamplighter Cir
Villa Park, CA 92861-4528
Phone (714) 944-3983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1003504598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18392 OLD LAMPLIGHTER CIR",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614528",
"telephone_number": "714-944-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 N MCKINLEY ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928796569",
"telephone_number": "951-371-2424"
}
],
"practiceLocations": [
{
"address_1": "18392 Old Lamplighter Cir",
"address_purpose": "LOCATION",
"city": "Villa Park",
"state": "CA",
"postal_code": "928614528",
"country_code": "US",
"telephone_number": "714-944-3983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KABBARA",
"first_name": "ALIA",
"middle_name": "MEAGAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-10-25",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
- Jun Yuan, M.D., Inc.
- James C Jun, D.M.D.
- Jessica Junio, OTD, OTR/L
- Just Natural Breastfeeding Solutions LLC
- Shaun P Just, D.C.
- Kadour and Hattar Inc (Bee Well Pharmacy)
- Ibtihal M Kadour, RPH
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospitals (Kaiser Riverside Home Health Agency (Parent))
- Kaiser Foundation Hospitals (Kaiser Foundation Hospital - Riverside Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.